A nurse is caring for a client who has been admitted with chronic obstructive pulmonary disease.
Barrel chest
Shortness of breath
Arterial blood gas results
Electrocardiogram results
Oxygen saturation
Lung sounds
Correct Answer : B,C,D,E
A. Barrel chest
Common chronic COPD finding, not acute or emergent.
B. Shortness of breath
Indicates respiratory compromise that is worsening-urgent.
C. Arterial blood gas results
Indicates respiratory acidosis; pCO₂ is severely elevated.
D. Electrocardiogram results
Needed to assess for cardiac complications due to hypoxia and acidosis.
E. Oxygen saturation
O₂ sat of 83% on room air is critically low and requires intervention.
F. Lung sounds
Wheezing is expected with COPD; less urgent than ABGs or O₂ sat.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Allow the client time alone to self-reflect.
Leaving a suicidal client alone poses a risk of self-harm. Continuous monitoring is required.
B. Encourage the client to focus on the positive aspects of life.
While positivity is helpful later, this response minimizes the client’s suicidal ideation and fails to assess immediate risk.
C. Ask the client about the lethality of their plan.
This is essential for determining the level of suicide risk. Asking directly about suicidal intent, plan, and means is critical.
D. Reassure the client that everything is going to work out.
This is false reassurance, which can shut down communication and invalidate the client's distress.
Correct Answer is A
Explanation
A. "When my baby is born, they can receive Medicaid as well."
Medicaid covers pregnant individuals and their infants for a period after birth, depending on income and state policy.
B. "Medicaid benefits are the same for everyone in the United States."
Incorrect. Medicaid is administered at the state level, and benefits vary.
C. "My income level does not impact whether or not I can receive Medicaid."
Medicaid eligibility is income-based.
D. "Medicaid is a federal-run health insurance program."
Medicaid is funded by both federal and state governments, but administered by individual states.
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